Request for Materials and Services (io-1089)




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Request for Materials and Services (IO-1089)



InstructionsCOMPLETE ALL FIELDS TO AVOID ORDER DELAYS

Please use internet ordering system through BNY Mellon Mall

1. This request form must be prepared completely including 5-digit Business Unit and 7- digit Management Unit. If incomplete, request will be returned unprocessed.

2. Attach samples and mail when requesting forms or printed materials.

3. Obtain authorized signature(s), as required.

4. Send or FAX signed request form to Corporate Sourcing area. (See addresses at bottom.)

Requested by:

Business Unit (5-digit) and Management Unit: (7-digit)

Client Billable Code (CBC): Line of Business/Department:




     

 

 

 

 

 

 

 

 

 

 

 

 




     

     

Ship to the Attention of:

AIM #:

Phone: (include area code)

Fax: (include area code)

     

     

(     )      

(     )      

Ship to Address: (Do not use a PO box number)

City:

State:

Zip Code:

Email Address: (example: doe.j@mellon.com)

     

     

  

     

|      

Suggested Supplier, Address and Phone Number:

Date Required: (Enter an actual date. Do not use rush or ASAP)

All orders will be processed in a timely manner.

Please allow minimum of 2 weeks for printed materials.



     

     

Material/Item #

Description of Materials/Services Requested

Quantity

UOM (Unit of Measure)

Unit Price

Total Price

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

Total Amount

     

Major Expenditure Request – Refer to II-F.070

Capital Plan Number: (Required for capitalized purchases of $5,000 or more)




     

     




(PRINT) Name of Project Manager:

Signature of Project Manager:

Date:

     

x




(PRINT) Name of Controller (if required):

Signature of Controller (if required):

Date:

     

x




Signatures (Please print and sign legibly)

Note: Manager must have signing authority for total amount of requisition.

Manager I.D. Number:

(PRINT) Name of Authorized Signer:

Signature of Authorized Signer:

Date:

     

     

x



GLOBAL SOURCING USE ONLY


Authorized $ Limit/Verified by/Date Verified:

P.O. Number:

Date Processed by Negotiator

Negotiator's Initials:

$










Mail or fax to Corporate Sourcing: AIM 153-1900 FAX (412) 234-6688

IO-1089 Rev. 11/09

If you do not receive your order within three (3) weeks of your request, call Corporate Sourcing at (412) 234-5530

Data Classification: Internal Use Only


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